OrganizationActive
Elite Anti-Aging and Vein Clinic
NPI 1922256072 · Ambulatory Surgical Clinic/Center · Kansas City, MO
Provider details
- NPI number
- 1922256072
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Harold Johnson, Owner(816) 453-0017
- License
- 2007030787 (MO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
5400 N Oak Trfy
Suite 115
Kansas City, MO 64118-4688
Phone: (816) 453-0017
Fax: (816) 453-0018
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 901480
Kansas City, MO 64190-1480
Other names (DBA / former)
- Doing business as
- Elite Vein Clinic
Registry dates
- Enumerated
- 2008-09-03
- Last updated
- 2008-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.